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General NPI Number Information
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NPI Number | 1508116864
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Entity Type | Organization
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Legal Business Name | HEALING HEARTS HOME CARE
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Dates
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Enumeration Date | 09/14/2012
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Last Update Date | 09/14/2012
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Provider Practice Location Address
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Address Line | 388 CROFT FERRY RD E
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City | GADSDEN
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State | AL
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Zip | 35903-5201
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Country | US
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Telephone | 256-295-2037
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Fax | 256-492-3343
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Provider Business Mailing Address
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Address Line | 388 CROFT FERRY RD E
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City | GADSDEN
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State | AL
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Zip | 35903-5201
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Country | US
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Telephone | 256-295-2037
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Fax | 256-492-3343
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Authorized Official
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Title or Position | OWNER/MGR
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Name | MRS. ANITA LYNN GLADDEN
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Credential |
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Telephone | 256-295-2037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 3020
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License Number State | AL
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